Survivors and Allies at UCLA: Join Us!
Thank you for standing in solidarity with survivors. We will contact you when we are organizing further actions (no spam, we promise!)

** Only your email is required. This account is not connected to the UCs in any way and can only be accessed by students in the group. **
Sign in to Google to save your progress. Learn more
What is your email? *
What is your first name? (So we know how to address you in emails!)
Do you want to become a member of UC Survivors + Allies (attend bi-weekly meetings)?
Clear selection
If you are part of a campus organization that may be willing to co-sign future petitions or share campaigns on social media, please write it here (we will contact you before reaching out to them):
Which UC(s) do you attend?
Finally, which of the following best describes you?
If you have any questions please contact us at UCLASurvivorsAndAllies@gmail.com!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms